| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,738 |
12,232 |
$642K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,065 |
9,688 |
$356K |
| 62323 |
|
1,193 |
925 |
$156K |
| 77002 |
|
586 |
398 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
344 |
$30K |
| 20610 |
|
592 |
392 |
$22K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,162 |
1,658 |
$14K |
| 62321 |
|
45 |
38 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
78 |
68 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
435 |
276 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
77 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
75 |
27 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
851 |
599 |
$3K |
| 99443 |
|
46 |
45 |
$3K |
| 99453 |
|
150 |
149 |
$2K |
| 20553 |
|
15 |
12 |
$634.48 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,277 |
1,731 |
$145.54 |
| A4550 |
Surgical trays |
201 |
126 |
$0.00 |